Angiographic follow-up of vertebrobasilar artery aneurysms treated with detachable coils
Autor: | Bernd Eckert, E. Neumaier Probst, Hermann Zeumer, Thorsten Ries, Christoph Groden, Thomas Kucinski |
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Rok vydání: | 2003 |
Předmět: |
Male
medicine.medical_specialty Time Factors Subarachnoid hemorrhage medicine.medical_treatment Glasgow Outcome Scale Central nervous system disease medicine Humans Radiology Nuclear Medicine and imaging cardiovascular diseases Embolization Retrospective Studies Neuroradiology medicine.diagnostic_test Vascular disease business.industry Angiography Digital Subtraction Intracranial Aneurysm Subarachnoid Hemorrhage medicine.disease Embolization Therapeutic Cerebral Angiography Surgery Cerebrovascular Disorders Treatment Outcome Retreatment Angiography cardiovascular system Vertebrobasilar artery Female Neurology (clinical) Neurosurgery Radiology Cardiology and Cardiovascular Medicine business Follow-Up Studies |
Zdroj: | Neuroradiology. 45:435-440 |
ISSN: | 1432-1920 0028-3940 |
Popis: | Endovascular treatment of ruptured vertebrobasilar artery aneurysms with Gugliemi detachable coils (GDC) has become an alternative to surgery. Mid-term angiographic follow-up can now be reported. Of 111 vertebrobasilar aneurysms in 110 patients we treated with GDC since 1992, 53 underwent angiography within 1 year and 59 after more than 18 months. We did not achieve complete occlusion on initial treatment of 23 aneurysms (21%). Complications were observed in 19 patients (17%), leading to permanent clinical disability in eight. Enlargement of the neck or reopening was seen in 12 (23%) of 53 aneurysms followed by angiography within 12 months. Documented recanalisation was treated in four (8%). Angiography was performed after 18-78 months in 59 patients, of whom nine, including three with initially incomplete occlusions, were retreated with GDC. Within the entire second observation period, three (5%) of the 59 patients had a further haemorrhage and were retreated with GDC. Rebleeding proved to be the only factor influencing the clinical outcome of retreated patients. |
Databáze: | OpenAIRE |
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